Laboratory 1: Scope Handling and Stereotactics

Participants will:

• Learn the different components of flexible and rigid endoscopy towers
• Connect and power up a tower, fiberoptic scope, videoscope, and rigid telescope
• Properly hold and manipulate rigid and flexible scopes (and learn what happens when proper technique is not used)
• Navigate simulated airway and intestinal tracts with a flexible scope, use flexible instruments for foreign body retrieval, perform BAL
• Use/handle laparoscopic instruments for performance of rigid endoscopic skills
• Technicians will learn flexible scope cleaning and troubleshooting

LUNCH

Laboratory 2: Scope Cleaning (Plus Handling & Stereotactics)

Participants will:

• Identify and correctly name rigid endoscopy instruments
• Practice flexible biopsy unloading and orientation
• Disassemble, clean, and reassemble flexible and rigid scopes; learn troubleshooting techniques for malfunctioning or clogged scopes
• Perform nerve blocks and antifungal catheter placement
• Review examples of broken instruments, disposable equipment and equipment hacks, and knot-tying skills
• Learn to use resectoscope and J-tip at bipolar station
• Continue training on skills from the morning session

Laboratory 3: Laser Safety and Hands-on Training, Cadaver Rhinoscopy

Participants will:

• Learn to safely operate a laser as a team
• Learn appropriate technique for tissue resection and urolith disruption using a laser
• Practice use of the laser for urolith disruption in a trainer
• Connect and power up a tower for rhinoscopy
• Perform retroflexion behind the soft palate in dog and cat cadavers
• Perform rigid rhinoscopic evaluation of the nasal cavity and take biopsies, otoscopy ± 110º retrograde evaluation
• Document rhinoscopy findings (Appendix)
• Power down towers and clean endoscopic equipment (by table)

LUNCH

Laboratory 4: Laser Safety and Hands-on Training, Cadaver Cystoscopy

Participants will:

•  Continue laser training by group (if needed)
• Connect and power up a tower for cystoscopy
• Perform cystoscopy and vaginoscopy in female dog and cat
• Perform transurethral cystoscopy in a male dog
• ± Perform stone retrieval, laser lithotripsy and tissue transection in cadavers
• Document vaginoscopic and cystoscopic findings (Appendix)
• Power down towers and clean endoscopic equipment (by table)

Laboratory 5: Cystoscopy

Participants will:

• Connect and power up a tower for cystoscopy
• Perform and observe cystoscopy in a female dog
• Document vaginoscopic and cystoscopic findings (Appendix)
• Power down towers and clean endoscopic equipment (by table)
• Observe or perform CAC after live dog cystoscopy is completed

LUNCH

Laboratory 6: Bronchoscopy

Participants will:

• Perform bronchoscopy in a systematic manner using bronchoscopic maps (Appendix)
• Perform and observe bronchoalveolar lavage
• Document bronchoscopic findings (Appendix)
  
  Instructors will cycle through tables to facilitate:
  – Bronchoscopic exam without an ET tube by 1 – 2 participants
  – Laryngeal examination by 1 – 2 participants prior to reintubation and continuation of bronchoscopy
  
  
• Power down towers and clean endoscopic equipment (by table)

Laboratory 7: Gastrointestinal Endoscopy

Participants will:

• Perform upper gastrointestinal viewing (2 hours)
• Perform removal of sham foreign bodies and gastrointestinal biopsies (2 hours)
• Perform colonoscopy (2 hours)
• Document endoscopic findings (Appendix)

LUNCH

After lunch, participants will:

• Perform colonoscopy (2 hours)
• Perform PEG tube placement in dog cadavers
• Power down tower and clean endoscopic equipment (by table)

Laboratory 8: Laparoscopy

Participants will work in groups of 4 to perform or observe:

• Draping in of a patient for laparoscopic approach (go wide)
• Veress needle placement, insufflation, and sharp cannula introduction in lateral recumbency using high pressure pneumoperitoneum
• Camera-monitored sharp or blunt cannula placement in lateral, dorsal or both recumbencies
• Laparoscopic explore, examining abdominal organs in a systematic manner, in both lateral and dorsal recumbency
• Biopsy of liver, pancreas, kidney, +/- intestine, lymph node, spleen
• Laparoscopic-assisted cholecystocentesis
• Jejunostomy tube placement if desired

LUNCH

After lunch, participants will:

• Perform any additional laparoscopic procedures desired on cadavers prior to equipment breakdown and cleaning
• Power down tower and clean endoscopic equipment (by table)